The New York State Medicaid Section 1115 Demonstration Waiver ("1115 Waiver") has improved access, quality, and cost effectiveness of health services for New Yorkers. The 1115 Waiver has allowed the State to implement its Medicaid Managed Care (MMC) program, which provides comprehensive and coordinated health care to Medicaid recipients. Our Social Support Navigation Program helps qualified individuals navigate this waiver and get access to care.
CAPTAIN Community Human Services provides screening and eligibility assessments for Social Support Navigation (1115 Waiver). Please call the case managers for your county below for screening to determine your eligibility:
- Fulton County Case Manager:
- Saratoga County Case Manager:
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Eligible Populations
Members must be enrolled in Medicaid Managed Care (MMC) and fall into one or more of the following populations:
Medicaid High Utilizer;
Individuals enrolled in a NYS-designated Health Home;
Individuals with Substance Use Disorder (SUD);
Individuals with Serious Mental Illness (SMI);
Individuals with Intellectual and Developmental Disability (I/DD);
Pregnant and postpartum persons;
Individuals who are up to 90 days post-release from incarceration with a chronic condition, including SUD and chronic Hepatitis C;
High-risk children under the age of 18 -
Scope of Services We Can Provide
Screening and eligibility assessments
Enhanced care management: referral management, coordination of services, education, and follow up
Housing: rent/temporary housing, utility assistance, pre-tenancy services
Nutrition: pantry stocking, cooking supplies
Transportation: public or private transportation for use of services or referrals
Referrals: while these are not things we can directly provide, we can provide referrals for other services needed, such as medically necessary home accessibility/safety modifications, asthma remediation, medical respite, and referrals for nutrition counseling and education, food prescriptions, and medically tailored meals
